The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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The Effect of McKenzie and Mulligan Exercise Training on the Cervical Spine

맥켄지 운동과 멀리건 기법이 경추에 미치는 효과

  • Kim, Chi-hyok (Dept. of Physical Therapy, Kungnam College of Information & Technology) ;
  • Kim, Ju-yoon (Dept. of Physical Therapy, Kungnam College of Information & Technology) ;
  • Jung, Su-hyun (Dept. of Physical Therapy, Kungnam College of Information & Technology)
  • 김지혁 (경남정보대학교 물리치료과) ;
  • 김주윤 (경남정보대학교 물리치료과) ;
  • 정수현 (경남정보대학교 물리치료과)
  • Received : 2015.11.11
  • Accepted : 2015.12.12
  • Published : 2015.12.30
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Abstract

Background: Many people are suffering from neck and shoulder pain due to muscle weakness, muscle fatigue, lack of exercise and accidents during exercise. In this study we compared the effects of McKenzie method and Mulligan technique method. Method: we randomly selected men(10) and women(10) and they are the 20s students of Busan material K college. We divided for McKenzie exercise group and Mulligan exercise group. McKenzie exercise and mulligan exercise applied cervical area three times a week for three weeks. We compared with pre-experiment and after 1~3 week through measuring the electromyography (EMG) change and neck range of motion (ROM). Results: The changes in the EMG at each exercise group, there was a statistically significant difference in each week. Although there was a significant difference after 1 week between the exercise group, the changes in the neck ROM at each exercise group there was no statistically significant difference. Conclusion: After experiment, EMG and neck ROM were increased in McKenzie exercise group and Mulligan exercise group. But Mulligan exercise group showed the change better than McKenzie exercise group in early stage. We suggest the Mulligan exercise method for recovering in early stage of neck ROM.

Keywords

References

  1. 김기옥, 이종수. 추나요법이 경항부 통증질환에 미치는 임상적 효과. 대한추나의학회지. 2000;1(1):67-82.
  2. 김다희. 경부 통증환자에서 Mckenzi 운동 치료법을 응용한 자가 운동요법의 효과 분석. 원광대학교 일반대학원, 석사학위논문. 2013.
  3. 문상복. 경부 신전근력운동 및 맥켄지(Mckinzie) 운동이 경부통 환자의 경추근력과 통증에 미치는 영향. 계명대학교 교육대학원, 석사학위논문. 2006.
  4. 박기병. 만성 경부통증환자에 대한 도수치료가 경부 가동범위와 통증에 미치는 영향. 대구대학교 재활과학대학원, 석사학위 논문. 2005.
  5. 오현주. 경부관절가동술이 두부전방자세와 주의집중력에 미치는 영향. 대구대학교 대학원, 박사학위논문. 2011.
  6. 윤성광. 근육 관리프로그램이 만성경부통증 환자의 경부기능장애와 정서지표에 미치는 영향. 남부대학교 대학원, 박사학위논문, 2013.
  7. 윤정규, 박호준, 정보인. 동결견 환자의 관절범위 회복과 통증감소에 있어서 Mulligan치료와 전기치료의 효과 비교. 한국전문물리치료학회지. 2000;7(2):66-75.
  8. 이상호. 목디스크. 서울, 열음사. 1999.
  9. 현상욱. 경추부 동통 환자에 대한 관절가동기법과 보존적 물리치료가 관절가동범위와 통증에 미치는 영향. 국민대학교 스포츠산업대학원, 석사학위논문. 2002.
  10. Berg HE, Berggren G, Tesch PA. Dynamic neck strength training effect on pain and function. Arch Phys Med Rehabil. 1994;75:661-665. https://doi.org/10.1016/0003-9993(94)90189-9
  11. Braun BL, Amundson LR. Quantitativ sssessment of head and shoulder posture. Arch Phys Med Rehabil. 1989;70(4):322-329.
  12. Byrn C, Olsson l, Falkheden et al. Subcutaneous sterile water injections for chronic neck and shoulder pain following whiplash injuries. Lancet. 1993;20(341):449-452.
  13. Cailliet R. Neck and arm pain. FA. Davis Co, 3rd ed, Philadelphia. 1991.
  14. Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine. 2005;30(1);E1-E7. https://doi.org/10.1097/01.brs.0000149082.68262.b1
  15. Clare HA, Adams R, Maner CG. Reliability of McKenzie classification of patients with cervical or lumbar pain, J Manipulative Physiol Ther. 2005;28(2):122-127. https://doi.org/10.1016/j.jmpt.2005.01.003
  16. Fisk JW. A Practical Guide to Management of the Painful Neck and Back. Springfield, Charles C Thomas Pub Ltd. 1st ed. 1977.
  17. Gross AR, Hoving JL, Gaines TA et al. A Cochrane review of manipulation and mobilization for mechanical neck disorder. Spine. 2004;29(14):1541-1548. https://doi.org/10.1097/01.BRS.0000131218.35875.ED
  18. Jari Y, Jukka TI. Clinical use of neck isometric strength measurement in rehabilitation. Arch Phys Med Rehabil, 1994;75:456-469.
  19. Kraus H. Clinical Treatment of Back and Neck pain. McGraw Hill. 1970;1-59.
  20. Mckenzie RA. Treat your own neck. Spinal Publications New Zealand Ltd. 1983.
  21. Mulligan BR. Manual Therapy: NAGS, SNAGS, MWMS, etc. Orthopedic Physical Therapy products. 6th ed. 2010.
  22. Paris SV. Foundation of Clinical Orthopedics. Institute Press. 1990.
  23. Revel M, Minguet M, Gergoy P, et al. Change in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: A randomized controlled study. Arch Phys Med Rehabil. 1994;75(8):895-899. https://doi.org/10.1016/0003-9993(94)90115-5
  24. Teitz CC, Cook DM. Rehabilitation of Neck and Low Back Injuries. Clin Sports Med. 1985;4(3):455-476.
  25. Toilson CD, Kregel ML. Physical exercise in the treatment of low back pain. Part I. A review. Orthop Rev. 1998;17(7):724-729.
  26. Wang WT, Olson SL, Campbell AH, et al. Effectiveness of physical therapy for patients with neck pain: An individualized approach using a clinical decision-making algorithm. Am J Phys Med Rehabil. 2003;82(3):203-218.